Organization
FCC ALLENWOOD
Active
Other names
Federal Bureau of Prisons
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD A LAINO PA-C (HEALTH SERVICE ADMINISTRATOR)
(570) 547-7950
Entity
Organization
Contact information
Practice address
ROUTE 15 RUSSELL ROAD, ALLENWOOD, PA 17810-2500
(570) 547-7950
(570) 547-7710
Mailing address
PO BOX 2500, ROUTE 15, 2 MILES NORTH, WHITE DEER, PA 17887-2500
(570) 547-7950
(570) 547-7710
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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